肥胖,以过量的脂肪组织为特征,已经成为一个重要的全球健康问题。近几十年来,肥胖症的患病率在全球范围内明显增加。随着发展中国家的急剧上升,特别是在城市地区。由于多种原因,解决怀孕期间的肥胖至关重要,并且对妇产科专家提出了挑战。
目的:本研究的目的是调查肥胖及其对分娩的影响之间的相关性。
方法:我们进行了一项涉及1513例患者的回顾性研究,分为正常体重,超重,和肥胖类别使用校正后的BMI值。我们进行了比较分析,以探讨BMI与各种结局之间的关系:分娩方法,出生时的阿普加分数,胎儿窘迫的发生率,胎儿出生体重,妊娠相关病理的存在,以及产后出血的发生。描述性统计分析用于表征患者和新生儿的人口统计学和临床特征。
结果:通过检查变量,例如分娩期间胎儿窘迫的发生,交货时的阿普加分数,以及交付方式,我们发现BMI升高与产程和分娩期间并发症之间存在关联.结果表明,较高的BMI与并发症增加和分娩方式的变化有关。
结论:肥胖是育龄妇女中最常见的健康问题,需要长期护理。它可能导致许多与妊娠相关的疾病,并在分娩和分娩期间影响母亲和孩子。肥胖与较低的Apgar评分有关,胎儿窘迫的发生率增加,剖宫产分娩率较高。虽然母亲有严重并发症的绝对风险,胎儿,肥胖女性中新生儿的比例较低,在怀孕前采取健康的饮食和运动行为,理想情况下,或者尽可能早地怀孕,可以帮助减少怀孕期间体重的过度增加。
Obesity, characterized by an excess of adipose tissue, has become a significant global health issue. The prevalence of obesity has increased markedly in recent decades worldwide, with a sharp rise also observed in developing countries, particularly in urban areas. Addressing obesity during pregnancy is crucial for several reasons and presents challenges for specialists in obstetrics and gynecology.
OBJECTIVE: The aim of the present study was to investigate the correlation between obesity and its implications for childbirth.
METHODS: We conducted a retrospective study involving 1513 patients, grouped into normal-weight, overweight, and obese categories using corrected BMI values. We performed comparative analyses to explore the association between BMI and various outcomes: the method of delivery, the Apgar score at birth, the incidence of fetal distress, fetal birth weight, the presence of pregnancy-associated pathologies, and the occurrence of postpartum hemorrhage. Descriptive statistical analysis was utilized to characterize the demographic and clinical features of the patients and newborns.
RESULTS: By examining variables such as the occurrence of fetal distress during labor, the Apgar score at delivery, and the mode of delivery, we identified an association between increasing BMI and complications during labor and delivery. The results indicate that a higher BMI is linked with increased complications and variations in the mode of delivery.
CONCLUSIONS: Obesity is the most common health issue among women of reproductive age and requires long-term care. It can contribute to numerous pregnancy-associated pathologies and affect both mother and child during labor and delivery. Obesity is associated with lower Apgar scores, the increased incidence of fetal distress, and a higher rate of cesarean section deliveries. Although the absolute risk of serious complications for mother, fetus, and newborn is low among women with obesity, adopting healthy eating and exercise behaviors prior to pregnancy, ideally, or as early in pregnancy as possible, can help minimize excessive weight gain during pregnancy.